| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $463.22 | $463.22 | $463.22 |
BCBS
| Facility | 26 | $349.29 | $349.29 | $349.29 |
Cigna
| Facility | 26 | $1,027.56 | $1,457.21 | $3,505.52 |
Health Partners
| Facility | 26 | $835.33 | $1,332.24 | $2,760.25 |